Avery Young

NPI #1700389715 in Canyon, Texas

Provider Information

NPI Number: 1700389715
Entity Type: Individual
Name: Avery Young
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Mar 15, 2018
Last Updated: Oct 18, 2018

Practice Location

Address: 911 23RD ST
City: Canyon
State: Texas
ZIP Code: 79015-4645
Phone: (806) 655-2104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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